Doubletree Club Suites • Jersey City, NJ • May 13-14, 2006
An ATA Professional Development Event
| First Name | Middle Initial | Last Name | ATA Member # |
| Employer/School (only list employer or school if you want it to appear on your badge) | NYCT Member # | ||
| Street Address | |||
| City | State/Province | Zip/Postal Code | Country |
| Telephone Number | Fax Number | Email Address | |
NOTICE: Registration for Saturday is FULL.
Space is still available for Sunday. Register Today!
| SUNDAY ONLY: | ATA/NYCT* Member | Nonmember | Payment |
| Early-Bird (before May 5) | $50 | $60 | $
|
| Onsite (after May 5) | $70 | $85 | $
|
JOIN ATA NOW! Individuals who join ATA when registering for this seminar qualify for the ATA member rate. Contact ATA or visit www.atanet.org/membapp.htm for a membership application.
Cancellation
Policy: Cancellations
received in writing by May 5, 2006 are eligible for a refund. Refunds
will not be honored after May 5. A $25 administrative fee will be applied
to all refunds.
Check/Money Order: Make payable to American Translators Association, through
US bank in US funds
Credit Card: Charge my
VISA
MasterCard
American Express
Discover
| Card Number | Expiration Date |
| ____________________________________ | |
| Name on Card | Signature |
Send payment and
completed form to: ATA,
225 Reinekers Lane, Suite 590, Alexandria, VA 22314.
OR, if paying by credit card, you may fax completed form to: (703) 683-6122.
Please check here if you require special accessibility or assistance. (Attach a sheet with your requirements.)